考《灵枢》之燔针

Textual Research on Burning Acupuncture in Miraculous Pivot

《灵枢》中燔针的治疗方法以针刺为主,即多部位予大量针刺,留针,然后用大与粗的艾条两根,点燃之后在针柄上烤,以使针柄发热达到人体深处,即筋脉与骨处,使针与热的效应达到人体深层部位,而后可以解除病人的痛苦。而劫刺与焠针的意思是进针进行的速度与使针柄的热时间长短,也就是常说的补与泻的问题。《黄帝内经》燔针劫刺与焠针的方法。其一是以痛为腧,以经络为循行线路,以现代医学神经走向分布处为基础,用针灸针,然后划线,在划线走行上,间隔一寸左右,密集把针全部扎满,根据病变部位与疼痛面积大小,以及结合经络阴阳两经的对称性,应用100~300根针,主要选择部位以背部督脉与膀胱经为主,或者前胸部,或者四肢大关节附近。针刺针完全扎到位之后,再用最粗的艾条两根,点燃之后双手拿紧,顺着针柄部分,使之针柄发热发红,直到病人顺针感热传导能耐受为度,反复多次,长时间进行针柄加热,一般在经过1~2 h,使疼痛能够完全缓解或解除为度。

Burning acupuncture in Miraculous Pivot means applying acupuncture in multiple areas, retaining the needles, then burning two moxa sticks and toasting them above the stem of the needles until the heat reaching the deep level of the human body （tendons, vessels and bones） ,in which way the pain of the patients is relieved. Plunder needling and firing needling refer to the speed of the inserting needles and the heating duration for the stems of the needles, which is also what people usually say as the method of tonification and purgation.